Pre- and postoperative verbal memory and executive functioning in frontal versus temporal lobe epilepsy
Publication year
2019Number of pages
8 p.
Source
Epilepsy & Behavior, 101, Part A, (2019), article 106538ISSN
Publication type
Article / Letter to editor
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Organization
SW OZ DCC NRP
Journal title
Epilepsy & Behavior
Volume
vol. 101
Issue
iss. Part A
Languages used
English (eng)
Subject
Neuropsychology and rehabilitation psychology; Neuro- en revalidatiepsychologieAbstract
There is accumulating evidence for considerable overlap in preoperatively affected cognitive functions in patients with temporal lobe epilepsy (TLE) and frontal lobe epilepsy (FLE). The current study investigated whether it is possible to differentiate between patients with FLE and TLE prior to surgery, based on measures of verbal memory and executive functioning. Furthermore, the postoperative cognitive development was compared. Pre- and postoperative data from 109 patients with FLE and 194 patients with TLE were retrospectively analyzed. Preoperatively, there were no differences in verbal memory, and postoperatively, no distinctive cognitive change was found between patients with FLE and TLE. However, patients with FLE performed worse on a cognitive switching task. Notably, irrespective of localization, patients with a presumed epileptogenic area in the language-dominant hemisphere performed worse than patients with seizures that originated in the nonlanguage-dominant hemisphere on measures of verbal memory, both pre- and postoperatively. In sum, the results suggest that verbal memory scores may be less valuable for differentiation between TLE and FLE, while measures of executive functioning may help identify patients with FLE. Additionally, rather than the localization, epilepsy lateralization critically impacts the evaluation of verbal memory functioning in both TLE and FLE. The results are discussed in light of the current frameworks of functional disturbances in epileptic networks.
This item appears in the following Collection(s)
- Academic publications [245050]
- Electronic publications [132309]
- Faculty of Social Sciences [30330]
- Open Access publications [105922]
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